BEUDAMED
    FDA Adverse Event Other Summary report: N

    HOSPIRA INC.

    MDR report key: 967931 · Received August 25, 2004

    Report

    Report Number
    967931
    Event Type
    Other
    Date Received
    August 25, 2004
    Date of Event
    July 27, 2004
    Report Date
    August 5, 2004
    Manufacturer
    HOSPIRA, INC.
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    HEPARIN INFUSED AT AN INAPPROPRIATE RATE VERSUS, THE SETTINGS FOUND PROGRAMMED ON DEVICE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HOSPIRA INC. MODEL PLUM XL FRN HOSPIRA, INC. PRISM XL NA

    Patients

    Seq Age Sex Outcome Treatment
    1 51 YR Other